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General NPI Number Information
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NPI Number | 1780971713
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Entity Type | Organization
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Legal Business Name | AMSURG TAMPA BAY ANESTHESIA LLC
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 4809 N ARMENIA AVE SUITE 100
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City | TAMPA
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State | FL
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Zip | 33603-1447
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Country | US
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Telephone | 813-872-9310
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Fax | 813-872-9311
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BLVD ATTN: PROVIDER ENROLLMENT
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City | NASHVILLE
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State | TN
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Zip | 37215-6187
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Country | US
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Telephone | 615-240-3809
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Fax | 615-234-1809
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Authorized Official
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Title or Position | SR DIRECTOR OF RCM TRANSFORMATION
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Name | MS. JEAN KOCHENDORDER
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Credential |
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Telephone | 615-240-3795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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